2018 Volume 59 Issue 5 Pages 562-565
The transition of healthcare for adult patients with childhood-onset chronic diseases (APCCD) from pediatric to adult healthcare has become a topic of attention worldwide. Health care transition first addressed in the United States in the 1980s, was not an issue in Japan until the 1990s when the question was raised, although only in terms of whether the transition should take place under the direction of pediatric or adult medical care. The Japan Pediatric Society established a committee for the health care transition of APCCD in 2010, followed by a research committee convened by the Ministry of Health, Labour and Welfare focusing on issues related to social, educational, and medical support for APCCD. While the concept of health care transition has since spread over the last 10 years, it is hoped that transition for patients with child-onset psychiatric illness will come to be discussed with due consideration to impairment characteristics and the reality of care available in Japan.